Systematic assessment of medication side effects during follow-up appointments, what is your process ?
Hi! Non-US psychiatry resident here.
I'm a bit ashamed to ask this late into my residency, but I've been feeling quite disorganized lately when it comes to discussing potential side effects and reassessing them during outpatient follow-up.
Here's what I do: when starting antipsychotics or antidepressants, I usually discuss 1 to 3 of the most common or relevant side effects and I'd say I also provide written information around 60% of the time. However, I realize I rarely revisit these discussions with patients who were started on medication during involuntary hospitalization, which is something I should improve.
Lastly, I think I'm bad at systematically screening for side effects during follow-ups. Do you consistently ask about constipation, dyskinesia, weight gain, etc., at every outpatient appointment? I tend to start with an open-ended question like "Have you noticed any side effects?" but it feels like it can be not exhaustive enough.
Honestly, it feels like i need to structure my approach better. What do you do, and how does that work for you ? Have you changed some things about your process because you encountered a problem?
I am really interested to read your answer, because i'm lacking so far, and it's annoying me. Thanks